妊娠期同伴支持戒烟:系统综述
2012/01/31
摘要
前言:妊娠期对于妊娠女性及其同伴减少吸烟或戒烟是一个绝佳时期。同伴的吸烟状态和对妊娠/产后女性减少吸烟/戒烟的支持,能影响女性的吸烟行为。
方法:对同伴支持妊娠/产后女性减少吸烟/戒烟的干预措施和同伴自己的戒烟治疗进行系统分析,共找到855篇相关文献,对其相关性进行分析后,最后9项干预研究入选。
结果:针对妊娠女性和/或其同伴的干预措施包括大众媒体宣传、超声扫描、视频、自助手册、咨询和尼古丁替代治疗(NRTs)。一项随机对照试验(RCT)显示,针对同伴的措施中,妊娠女性接受健康咨询、视频和打印信息,而其同伴接受小册子解释一同戒烟的重要性,该措施能显著降低女性和/或同伴吸烟。3项研究(1项RCT聚类分析、1项为前/后检测、1项为RCT)显示,干预措施对妊娠女性戒烟没有帮助。2项RCT中,采用免费NRT、电话咨询和多次接触,作为男性同伴的戒烟干预措施。结果显示,对总体戒烟率的影响并不持续到产后。7项研究(4项前/后检测、2项RCT、1项RCT聚类分析)显示,干预措施对同伴戒烟无助。
结论:尽管同伴吸烟很重要,很少有针对妊娠/产后女性戒烟的有效戒烟干预措施,其中包括或针对男性同伴戒烟的措施。这表明,有必要进一步开发干预措施,并研究这些干预措施的有效性。
(陈欣 审校)
Nicotine Tob Res. 2011 Dec 16. [Epub ahead of print]
Partner Support for Smoking Cessation During Pregnancy: A Systematic Review.
Hemsing N, Greaves L, O’Leary R, Chan K, Okoli C.
Source
British Columbia Centre of Excellence for Women’s Health, E311-4500 Oak Street, Box 48, Vancouver, BC V6H 3N1, Canada. nhemsing@cw.bc.ca.
Abstract
INTRODUCTION: Pregnancy is a key time to leverage receptivity to smoking reduction or cessation in both pregnant women and their partners. A partner’s smoking status and support for the pregnant/postpartum woman’s efforts to reduce or quit smoking may impact her smoking behavior.
METHODS: A systematic literature review of interventions to enhance partner support for pregnant/postpartum women’s smoking reduction or cessation and cessation treatments for the partners themselves identified 855 unique references, which were examined for relevance, yielding 9 intervention studies.
RESULTS: This narrative review analyzed a range of interventions including mass media campaigns, ultrasound scans, video, self-help manuals, counselling, and nicotine replacement therapies (NRTs) aimed at pregnant women and/or their partners. One randomized controlled trial (RCT) showed significant results for an intervention, which included a partner-targeted component in which pregnant women received health counselling, video and printed information, while partners received a booklet explaining the importance of quitting together. Three studies (1 RCT cluster, 1 pre-post test, 1 RCT) demonstrated no effect in improving smoking cessation among pregnant women. Two RCTs included free NRTs, telephone counselling, and multiple contacts as components of effective intervention for male partners, but impact on overall quit rates may not be sustainable postpartum. Seven studies (4 pre-post test, 2 RCT, 1 RCT cluster) found no effect of the intervention on partner smoking cessation.
CONCLUSIONS: Despite the importance of partner smoking, there are very few effective smoking cessation interventions for pregnant/postpartum women that include or target male partners, suggesting the need for further intervention development and research to establish the utility of this approach.
Nicotine Tob Res. 2011 Dec 16. [Epub ahead of print]
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多语种电话热线对亚洲吸烟者戒烟的影响:随机对照试验
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缺血性脑卒中和短暂脑缺血发作后戒烟干预:随机对照预试验